NA 04.045.046SRecalls & reported problems
Synthes GmbH · LOCKING SCREW FOR IM NAIL Ø 5MM/ 46MM/ XL25/ STERILE · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 4
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 10886982294456), received between Oct 18, 2022 and Feb 26, 2024 — classified as 4 injuries.
The most frequently reported specific device problem is “Migration” (1 report).
2 other recalls cover devices cleared under the same FDA submission (K201336, K201346); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem3
- Migration1
Patient problems
- Unspecified Infection3
- Nonunion/Delayed-union Bone Fracture2
- Failure of Implant1
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
InjuryFeb 26, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
DEVICE REPORT FROM JAPAN REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED THAT ON (B)(6) 2023, THE PATIENT UNDERWENT AN UNKNOWN SURGERY WITH A NAIL TREATING THE LOWER LEG. AFTER THE SURGERY, WOUND INFECTION OCCURRED. ON (B)(6) 2024, ONLY THE SCREWS THAT HAVE INTERFERED WITH THE WOUND WERE REMOVED IN A REOPERATION. PATIENT OUTCOME IS STABLE. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A LOCKING SCREW FOR IM NAIL Ø 5MM/ 46MM/ XL25/ STERILE. THIS IS REPORT 2 OF 2 FOR (B)(4).
Patient problems: Unspecified Infection
MAUDE report 18777071 ↗InjuryOct 20, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
DEVICE REPORT FROM AUSTRALIA REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED THAT ON (B)(6) 2023, A BROKEN TNA NEEDED REMOVING AND RE-NAILING. THE NAIL HAD BROKEN AT THE DISTAL END. THE NAIL WAS ORIGINALLY IMPLANTED ON (B)(6) 2023, AND WAS REMOVED ON (B)(6) 2023 AND RE-NAILED WITH A 10X360MM TNA. ALL PREVIOUS NAIL ITEMS WERE REMOVED. THE REVISION PROCEDURE WAS PERFORMED BECAUSE OF THE BROKEN IMPLANT, THE FRACTURE HAD NOT HEALED. THE PATIENT HAD SIGNIFICANT DISTAL BONE LOSS AND A MASQUELET PROCEDURE WAS COMPLETED. THE PATIENT HAD BORNE WEIGHT AFTER BONE GRAFT HAD BEEN INSERTED, AND THIS IS WHEN THE NAIL BROKE. REAMINGS SENT OFF DURING THE CASE CAME BACK POSITIVE FOR INFECTION. THE REVISION PROCEDURE WAS COMPLETED SUCCESSFULLY AND THE PATIENT IS PROGRESSING WELL. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A LOCKING SCREW FOR IM NAIL Ø 5MM/ 46MM/ XL25/ STERILE. THIS IS REPORT 7 OF 7 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 17975202 ↗InjuryOct 20, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
DEVICE REPORT FROM AUSTRALIA REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED THAT ON (B)(6) 2023, A BROKEN TNA NEEDED REMOVING AND RE-NAILING. THE NAIL HAD BROKEN AT THE DISTAL END. THE NAIL WAS ORIGINALLY IMPLANTED ON (B)(6) 2023, AND WAS REMOVED ON (B)(6) 2023 AND RE-NAILED WITH A 10X360MM TNA. ALL PREVIOUS NAIL ITEMS WERE REMOVED. THE REVISION PROCEDURE WAS PERFORMED BECAUSE OF THE BROKEN IMPLANT, THE FRACTURE HAD NOT HEALED. THE PATIENT HAD SIGNIFICANT DISTAL BONE LOSS AND A MASQUELET PROCEDURE WAS COMPLETED. THE PATIENT HAD BORNE WEIGHT AFTER BONE GRAFT HAD BEEN INSERTED, AND THIS IS WHEN THE NAIL BROKE. REAMINGS SENT OFF DURING THE CASE CAME BACK POSITIVE FOR INFECTION. THE REVISION PROCEDURE WAS COMPLETED SUCCESSFULLY AND THE PATIENT IS PROGRESSING WELL. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A LOCKING SCREW FOR IM NAIL Ø 5MM/ 46MM/ XL25/ STERILE. THIS IS REPORT 6 OF 7 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 17975197 ↗InjuryOct 18, 2022Migration; Migration
IT WAS REPORTED THAT ON (B)(6) 2022 THERE WAS A REVISION OF TROCHANTERIC FIXATION NAIL ADVANCED (TFNA) FOR CONVERSION TO TOTAL HIP DUE TO CUT OUT. THERE WAS NO SURGICAL DELAY, AND THE SURGERY WAS COMPLETED SUCCESSFULLY. PATIENT OUTCOME WAS UNKNOWN. THIS REPORT IS FOR ONE (1) LOCKING SCREW FOR IM NAIL Ø 5MM/ 46MM/ XL25/ STERILE. THIS IS REPORT 4 OF 4 FOR COMPLAINT (B)(4).
Patient problems: Failure of Implant
MAUDE report 15620833 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K201336, K201346. One submission often covers many models, so check the product and lot details in each record.
- Z-0228-2026 · Sep 26, 2025 · Open, ClassifiedLOW PROF LCKNG SCREW, F/IM NAIL 5.0MM / L, 46MM / XL25/ STER. Product Code: 04.045.346TS. Used in RFN-ADVANCEDTM Retrograde Femoral Nailing (RFNA) System and the Tibial Nail A
- Z-0229-2026 · Sep 26, 2025 · Open, ClassifiedLOW PROF LCKNG SCREW, F/IM NAIL 5.0MM / L, 42MM / XL25/ STER. Product Code: 04.045.342TS. Used in RFN-ADVANCEDTM Retrograde Femoral Nailing (RFNA) System and the Tibial Nail A
Other Screw, fixation, bone devices
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- OSTEORAPTOR 72201995Smith & Nephew, Inc. · Screw, fixation, bone253 reports
- Control 360 SK12Treace Medical Concepts, Inc. · Screw, Fixation, Bone195 reports
- HEALIX PEEK ORTHOCORD 222205Medos International Sàrl · Screw, fixation, bone186 reports
- PRECICE® Bone Transport System STP3.5-400Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-225Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-350Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-300Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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